HealthLeaders Media January 25, 2024
ProPublica

The agency has rolled out sweeping changes to target end-of-life care providers that were billing for unneeded services, but some fraud hot spots continue to evade scrutiny.

KEY TAKEAWAYS

– CMS data from last year shows that four states continued to drive most of the growth of new Medicare-certified hospices in the country, with two-thirds of all certifications taking place there.

– The nation’s leading trade groups for end-of-life care have repeatedly recommended that Medicare impose a moratorium on certifying new hospices in counties that have seen an explosion in questionable startups.

– This would prevent bad actors from draining Medicare funds, the groups contend, while regulators can investigate fraudulent networks.

This article was published on Thursday, January 25, 2024...

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Topics: CMS, Govt Agencies, Insurance, Medicare, Post-Acute Care, Provider, States
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